Active NPI
Springfield Neurological Institute, L.L.C.
- Neurological Surgery Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- SPRINGFIELD NEUROLOGICAL INSTITUTE, L.L.C.
- Practice address
- 3801 S National Ave Ste 130
Springfield, MO 65807-5210 - Phone
- (417) 885-3888
- Fax
- (417) 881-7216
- NPI assigned
- Feb 5, 2026
- Last updated
- Feb 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edwin J. Cunningham III, MD
- Title
- Neurosurgeon
- Phone
- (417) 885-3888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Surgical Physician Assistant | 363AS0400X | |||
| Nurse Practitioner | 363L00000X | |||
| Acute Care Nurse Practitioner | 363LA2100X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Neurological Surgery Physician | 207T00000X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Neuroradiology Physician | 2085N0700X |
Addresses
Primary practice location
3801 S National Ave Ste 130
Springfield, MO 65807-5210
Mailing address
1414 E Primrose St Ste 100
Springfield, MO 65804-4283
Phone (417) 882-1207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040415000146 | MO | Part B Supplier - Clinic/Group Practice | 8820083496 |
Receives reassigned benefits from 20 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Springfield, MO; Carthage, MO; Rolla, MO; Branson, MO; Osage Beach, MO |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Neurological Surgery Physician
- Springfield, MO
- NPI 1427002005
O20040415000146
National Provider Directory
National Provider Directory- Tax ID family
- Springfield Neurologica
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Springfield, MO
- NPI 1306978911
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurological Surgery Physician
- Springfield, MO
- NPI 1578510954
-
- Nurse Practitioner
- Springfield, MO
- NPI 1346504479
-
- Neurological Surgery Physician
- Springfield, MO
- NPI 1164472841
-
- Physician Assistant
- Springfield, MO
- NPI 1790732162
-
- Diagnostic Radiology Physician
- Springfield, MO
- NPI 1578025532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770249600000",
"number": "1629929682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 E PRIMROSE ST STE 100",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044283",
"telephone_number": "417-882-1207",
"fax_number": "417-881-7268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 S NATIONAL AVE STE 130",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075210",
"telephone_number": "417-885-3888",
"fax_number": "417-881-7216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGFIELD NEUROLOGICAL INSTITUTE, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-05",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A",
"authorized_official_last_name": "CUNNINGHAM",
"authorized_official_first_name": "EDWIN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "NEUROSURGEON",
"authorized_official_telephone_number": "417-885-3888",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
- Springfield Neurological and Spine Institute
- Springfield Neurological and Spine Institute
- Springfield Neurological and Spine Institute
- Springfield Neurological Institute, L.L.C.
- Springfield Neurological Institute, L.L.C.
- Springfield Neurological Institute, L.L.C. (SNI Imaging)
- Springfield OB-GYN, LLC
- Springfield Orthopaedic & Pedorthic Services, LLC
- Springfield Orthotics and Prosthetics Inc (Springfield Orthopedic Services)
- Springfield Physical Medicine and Rehabilitation, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.